From 1 April 2020, this website will not be updated.
For the latest local health and care information, visit
On 1 April 2020, NHS South East London Clinical Commissioning Group (CCG) was established. The new CCG is made up of the previous six south east London CCGs in Bexley, Bromley, Greenwich, Lambeth, Lewisham and Southwark. Information that has been held previously by those six CCGs transferred to the new CCG on 1 April 2020. The new CCG will become the new controller for the data held by the superseded organisations. If you have any further questions about the use of data by NHS SEL CCG, please contact

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NHS continuing healthcare (CHC)


What is NHS continuing healthcare?

NHS continuing healthcare (CHC) is a package of care provided outside of hospital. It is arranged and funded by Clinical Commissioning Groups (CCGs) for people aged 18 years and over who have significant ongoing healthcare needs and have been assessed as having a ‘primary health need’.

People who are assessed for CHC include those who need a very high level of support.

Some people may be reaching the end of their lives, or have long-term conditions as a result of a disability, accident or illness. When someone is assessed as eligible for CHC, their local CCG is responsible for funding their full package of health and social care. 

This means that the CCG will find suitable care to meet someone's assessed needs.  The CCG will always try to meet the patient and family’s preferences for the type and place of care provided and where possible will give options and choices that best match what people and their carers want. 

What is a primary health need? 

There is no legal definition of what constitutes a ‘primary health need’. However, a key court judgment, known as the Coughlan case, set a precedent for when someone’s healthcare needs are beyond the responsibilities of local authorities and should be paid for by the NHS. 

What does it mean? 

If someone is assessed as eligible for continuing healthcare, the CCG funds the full package of health and social care. For example, if a patient is eligible for CHC in their own home, the CCG will pay for healthcare costs (such as services from a community nurse or specialist therapist) and for associated social care costs (such as personal care and help with bathing). In a care home, the CCG also pays for people’s care home fees, including board and accommodation.

How likely is it for someone to be assessed as eligible for CHC? 

The completion of the CHC checklist does not indicate that someone may be eligible for CHC and less than 1 in 3 of those who pass the initial screening will be assessed as eligible for CHC.

To find out more about who is eligible, click here.

Accessible Information Standard

Continuing healthcare services want to improve how they communicate with patients and carers and will provide communications assistance where necessary in line with the Accessible Information Standard (AIS). Patients and family members are asked to contact the continuing healthcare team if they require information in a different format or communication support such as braille, large print, easy-read or British Sign Language.

For more information on the AIS, please visit the NHS England website.


Find out more

To find out more about continuing healthcare in Bexley, please contact the 020 8298 6065 or email

If you are not satisfied with a placement or package of care you should contact Bexley’s CHC team where your concerns can be discussed with a member of staff.  

Following discussion with our CHC team if you remain unhappy, you can contact the Patient Experience Team who can offer advice about making a complaint.